| NPI | 1922805068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TESSA K MYERS Licensed Professional Counselor A 541-646-5132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-02-26 |